Deficiency Records for Nursing and Rehabilitation at The Mansion
Updated as of March 01, 2024
A list of the most recent deficiencies for Nursing and Rehabilitation at The Mansion. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-12-06 | 2024-01-04 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-02-10 | 2023-03-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-10 | 2023-03-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-02-10 | 2023-03-24 | N |
| Meet other general requirements. | Fire Safety | 2022-02-22 | 2022-03-31 | N |
| Use approved construction type or materials. | Fire Safety | 2022-02-22 | 2022-03-31 | N |
| Provide at least two remote exits on each floor or fire section of the building. | Fire Safety | 2022-02-22 | 2022-03-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-22 | 2022-03-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-02-22 | 2022-03-31 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-02-22 | 2022-03-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-11 | 2022-03-25 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-02-11 | 2022-03-25 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-02-11 | 2022-03-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-11 | 2022-03-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-11 | 2022-03-25 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-02-11 | 2022-03-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-11 | 2022-03-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-11 | 2022-03-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-02-11 | 2022-03-25 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2022-02-11 | 2022-03-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-02-11 | 2022-03-25 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-02-11 | 2022-03-25 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2022-02-11 | 2022-03-25 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-01-08 | 2021-02-23 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-01-08 | 2021-02-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-01-08 | 2021-02-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-01-08 | 2021-02-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-01-08 | 2021-02-23 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-01-08 | 2021-02-23 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-01-08 | 2021-02-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-01-08 | 2021-02-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-01-08 | 2021-02-23 | N |
